Organization Active NPI

Victoria of Texas LP

  • Critical Access Hospital
  • Victoria, TX
National Provider Identifier
1003141128
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
000453 Issued in TX
Legal business name
VICTORIA OF TEXAS LP
Practice address
506 E San Antonio St
Victoria, TX 77901-6060
Phone
(361) 575-7441
Fax
(361) 788-6114
NPI assigned
Oct 7, 2009
Organization subpart
Yes
Parent organization
VICTORIA OF TEXAS LPAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Laurie Holtsford
Title
Authorized Official
Phone
(615) 465-7466

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Robert Simpkins MD (4 organizations share this tax ID)
Part of
Robert Simpkins MD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 000453 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

506 E San Antonio St
Victoria, TX 77901-6060

Mailing address

PO Box 2089
Victoria, TX 77902-2089
Phone (361) 575-7441

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
025223101MedicaidTX

Other names 1

NPPES NPI Registry
  • DeTar Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2009.

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1003141128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779022089",
            "telephone_number": "361-575-7441",
            "fax_number": "361-788-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-575-7441",
            "fax_number": "361-788-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA OF TEXAS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORIA OF TEXAS LP",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TX",
            "license": "000453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025223101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeTar Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.